Individual
JOHN CHARLES JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HENRY FORD JACKSON HOSPITAL, 205 N EAST AVENUE, JACKSON, MI 49201
(517) 205-7164
(517) 205-7050
Mailing address
HENRY FORD JACKSON HOSPITAL, 205 N EAST AVENUE, JACKSON, MI 49201
(517) 205-7164
(517) 205-7050
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351049722
MI
Other
Enumeration date
04/07/2022
Last updated
07/03/2022
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